Evidence map›Paper›PMID 40016224›Full record

ArticleNature communications2025

Associations of PFAS and OH-PCBs with risk of multiple sclerosis onset and disability worsening.

Aina Vaivade, Ida Erngren, Henrik Carlsson, Eva Freyhult, Payam Emami Khoonsari, Yassine Noui, Asma Al-Grety, Torbjörn Åkerfeldt, Ola Spjuth, Valentina Gallo and 7 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Aina VaivadeDepartment of Medical Sciences, Clinical Chemistry, Uppsala University, Uppsala, Sweden.
Ida ErngrenDepartment of Medical Sciences, Clinical Chemistry, Uppsala University, Uppsala, Sweden.ORCID http://orcid.org/0000-0001-7867-9525
Henrik CarlssonDepartment of Medical Sciences, Clinical Chemistry, Uppsala University, Uppsala, Sweden.
Eva FreyhultDepartment of Cell and Molecular Biology, Uppsala University, Uppsala, Sweden.ORCID http://orcid.org/0000-0003-0226-1047
Payam Emami KhoonsariDepartment of Medical Sciences, Clinical Chemistry, Uppsala University, Uppsala, Sweden.
Yassine NouiDepartment of Medical Science, Neurology, Uppsala University, Uppsala, Sweden.ORCID http://orcid.org/0000-0002-0513-7546
Asma Al-GretyDepartment of Medical Sciences, Clinical Chemistry, Uppsala University, Uppsala, Sweden.
Torbjörn ÅkerfeldtDepartment of Medical Sciences, Clinical Chemistry, Uppsala University, Uppsala, Sweden.
Ola SpjuthDepartment of Pharmaceutical Biosciences, Uppsala University, Uppsala, Sweden.ORCID http://orcid.org/0000-0002-8083-2864
Valentina GalloDepartment of Sustainable Health, Campus Fryslân, University of Groningen, Leeuwarden, the Netherlands.
Anders Olof LarssonDepartment of Medical Sciences, Clinical Chemistry, Uppsala University, Uppsala, Sweden.
Ingrid KockumDepartment of Clinical Neuroscience, Karolinska Institutet, Solna, Sweden.ORCID http://orcid.org/0000-0002-0867-4726
Anna Karin HedströmDepartment of Clinical Neuroscience, Karolinska Institutet, Solna, Sweden.ORCID http://orcid.org/0000-0002-6612-4749
Lars AlfredssonDepartment of Clinical Neuroscience, Karolinska Institutet, Solna, Sweden.ORCID http://orcid.org/0000-0003-1688-6697
Tomas OlssonDepartment of Clinical Neuroscience, Karolinska Institutet, Solna, Sweden.
Joachim BurmanDepartment of Medical Science, Neurology, Uppsala University, Uppsala, Sweden.ORCID http://orcid.org/0000-0002-7045-1806
Kim KultimaDepartment of Medical Sciences, Clinical Chemistry, Uppsala University, Uppsala, Sweden. Kim.Kultima@medsci.uu.se.ORCID http://orcid.org/0000-0002-0680-1410

Funding

Svenska Forskningsrådet Formas (Swedish Research Council Formas) 2020-01267 and 2023-00905Vetenskapsrådet (Swedish Research Council) 2021-02189 and 2024-03161Vetenskapsrådet (Swedish Research Council) 2021-02814
6 · The paper itself

Abstract

Exposure to per- and polyfluorinated substances (PFAS) and hydroxylated polychlorinated biphenyls (OH-PCBs) is associated with adverse human health effects, including immunosuppression. It is unknown if these substances can affect the course of autoimmune diseases. This study was based on 907 individuals with multiple sclerosis (MS) and 907 matched controls, where the MS cases were followed longitudinally using the Swedish MS register. We demonstrate sex- and disease-specific differences in serum PFAS concentrations between individuals with MS and controls. Moreover, two OH-PCBs (4-OH-CB187 and 3-OH-CB153) are associated with an increased risk of developing multiple sclerosis, regardless of sex and immigration status. With a clinical follow-up time of up to 18 years, an increase in serum concentrations of perfluorooctanoic acid (PFOA), perfluorooctane sulfonic acid (PFOS), and perfluorodecanoic acid (PFDA) decreases the risk of confirmed disability worsening in both sexes, as well as perfluoroheptanesulfonic acid (PFHpS) and perfluorononanoic acid (PFNA), only in males with MS. These results show previously unknown associations between OH-PCBs and the risk of developing MS, as well as the inverse associations between PFAS exposure and the risk of disability worsening in MS.

Indexed as

Environmental PollutantsFluorocarbonsMultiple SclerosisPolychlorinated BiphenylsAdultAlkanesulfonic AcidsCaprylatesCase-Control StudiesDecanoic AcidsEnvironmental ExposureFemaleHumansLongitudinal StudiesMaleMiddle AgedRisk FactorsAlkanesulfonic AcidsCaprylatesDecanoic AcidsEnvironmental PollutantsFluorocarbonsperfluorodecanoic acidperfluorooctane sulfonic acidperfluorooctanoic acidPolychlorinated Biphenyls

Identifiers

PMID40016224
PMCPMC11868641

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.